Methicillin-Resistant Staphylococcus aureus Aortic Valve Endocarditis With Cerebral and Peripheral Artery...

Infective endocarditis can affect native valves, prosthetic valves, or implanted cardiac devices. It has a high in-hospital mortality rate. This is a 43-year-old woman with a history of aortic valve replacement 4 months before presentation. She presented with fatigue. Computed tomography showed left internal carotid artery occlusion and bilateral cerebral infarcts. Echocardiography showed a dehiscent prosthetic valve, aortic root pseudoaneurysm, and abscess. She underwent redo aortic valve replacement with root reconstruction. Infective endocarditis with carotid artery disease is a complex condition. Septic emboli can affect the carotid arteries, leading to stroke. Early detection and a comprehensive examination are required to optimize outcomes.